VHS Learning Student Application
o Select a course: Visit
. Find the courses that interest you.
o Meet with your counselor to discuss your choices.
o Complete this application to express your desire to enroll in a VHS course. Be sure to follow-up this application with an email to Mrs. Trost (
) stating that you have completed this Student Application Form
Home Address (please include town and zip code)
Parent/Guardian Phone Number
LOLHS/Outlook Email address (@
Student Graduation Year
Name of Guidance Counselor
Ms. Tracy Lenz
Ms. Colleen Rodriguez
Ms. Jo Williams
Do you have an IEP or 504?
Yes, I have an IEP
Yes, I have a 504
No, I do not have either a 504 or an IEP
How did you hear about VHS?
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This form was created inside of Lyme-Old Lyme Public Schools.